According to the decree of the Government of the Russian Federation dated 12/01/2004 No. 715 “On approval of the list of socially significant diseases and the list of diseases that pose a danger to others”, tuberculosis is a socially significant disease, therefore, the fight against this disease is one of the priorities of national healthcare. The article presents the dynamics of tuberculosis prevalence rates among the population of the Russian Federation and St. Petersburg. Based on the study of the existing phthisiological service organization system, a rationale is presented for improving the organizational structure of TB care using digital support technologies. An analysis of the work of the city's tuberculosis dispensary, as the main coordinating link in St. Petersburg to combat tuberculosis, has been carried out, and an action plan has been developed to increase the coverage of tuberculosis care for all segments of the city's population.